Search › California › 207RI0001X
Tyana Shaw
NPI 1669199642 · on the registry since 2022
Practice
- Address
- 4965 Ridgeview Dr
Antioch, CA 94531 - Phone
- (510) 703-2130
Registry record
- Primary taxonomy
- 207RI0001X
207RI0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California